Provider Demographics
NPI:1891006854
Name:AKRAM, AHMAD JUNAID (DMD)
Entity Type:Individual
Prefix:DR
First Name:AHMAD
Middle Name:JUNAID
Last Name:AKRAM
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9614 BLACKBERRY TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-1976
Mailing Address - Country:US
Mailing Address - Phone:617-331-4777
Mailing Address - Fax:
Practice Address - Street 1:3103 FM 1960 EAST
Practice Address - Street 2:SUITE F
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338
Practice Address - Country:US
Practice Address - Phone:617-331-6477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-24
Last Update Date:2023-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX26317122300000X
MADN18557551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004011136Medicaid